Individual
PAUL L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C-5501
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54981
MEDICARE
AR
01
—
D09030
UPIN
AR
Enumeration date
04/21/2006
Last updated
07/08/2007
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